Membership Application

Legal Name _________________________________________________________

Spiritual or Other Name _________________________________________________

Address ____________________________________________________________

___________________________________________________________________

Email: ______________________________________________________________

Telephone: __________________________________________________________

Cell phone: __________________________________________________________

By signing below I warrant I have completed the Gnostic Lessons and desire to become a member of the
UNIVERSAL GNOSTIC FELLOWSHIP.

I am interested in learning more about the following organizations and opportunities available to me as a member of the Church:
______ Intentional Prayer Network ______ Pray For Me Project ______ Order of Mary ______ Modern Essenes ______ Sisters of Julian ______ Order of the Universal Nun ______ Order of the Universal Monk

______ Spiritual Alchemy ______ The Golden Dawn ______ Esoteric Freemasons ______ Temple of the Holy Grail ______ Temple of Gnostic Wisdom ______ Temple of Eternal Light ______ Temple of Mother Earth

______ Becoming Licensed as a Spiritual Health Coach ______ Becoming Ordained as a _____Deacon, _____Minister, or _____ Bishop

I also warrant I am currently ordained and/or consecrated as:

______ A Deacon or Deaconess ______ Minister, Priest or Priestess ______ Bishop
(Please enclose documentation to support this if you wish to transfer your credentials to the UNIVERSAL GNOSTIC FELLOWSHIP; or list on the back of this application the churches or organizations that conferred these ordinations and/or consecrations upon you.)

Signature __________________________________________ Date _____________

Mail to: UNIVERSAL GNOSTIC FELLOWSHIP
PO Box 163
Ridgecrest, NC 28770

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